经导管三尖瓣反流 MitraClip 修复术。

Transcatheter repair of tricuspid regurgitation with MitraClip.

机构信息

Valve Science Center, Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, MN 55407.

出版信息

Prog Cardiovasc Dis. 2019 Nov-Dec;62(6):488-492. doi: 10.1016/j.pcad.2019.10.001. Epub 2019 Oct 23.

DOI:10.1016/j.pcad.2019.10.001

Abstract

Transcatheter therapy with the MitraClip system (Abbott Structural, Menlo Park, CA) is the most commonly used transcatheter therapy for patients with tricuspid regurgitation, with over 1000 cases performed worldwide. The procedure is an off-label approach that requires meticulous attention to anatomical features obtained via comprehensive echocardiography and, in some cases, using cardiac computed tomography. Herein, we describe patient selection, procedural performance, and clinical outcomes of this therapy.

摘要

经导管 MitraClip 系统治疗（雅培结构性心脏病，门洛帕克，加利福尼亚州）是目前治疗三尖瓣反流最常用的经导管治疗方法，全球已完成超过 1000 例。该方法为超适应证方法，需要仔细关注通过全面超声心动图获得的解剖特征，在某些情况下还需要使用心脏计算机断层扫描。在此，我们将介绍这种治疗方法的患者选择、操作程序和临床结果。